title: Open versus laparoscopic right hemicolectomy in the elderly population.
abstract: OBJECTIVE
  To compare short term outcomes of elective laparoscopic and open right hemicolectomy (RH) in an elderly population.
  
  
  METHODS
  All patients over the age of 70 undergoing elective RH at Ninewells Hospital and Perth Royal Infirmary between January 2006 and May 2011 were included in our analysis. Operative details, hospital length of stay, morbidity and mortality was collected by way of proforma from a dedicated prospective database. An extracorporeal anastomosis was performed routinely in the laparoscopic group. The primary endpoints for analysis were morbidity and mortality. Our secondary endpoints were operative duration, length of hospital stay and discharge destination.
  
  
  RESULTS
  Two hundred and six patients were included in our analysis. One hundred and twenty-five patients underwent an open resection and 81 patients had a laparoscopic resection. The mean operating time was significantly longer in the laparoscopic group (139 ± 36 min vs 197 ± 53 min, P = 0.001). The mean length of hospital stay was similar in both groups (11.2 ± 7.8 d vs 9.6 ± 10.7 d, P = 0.28). The incidence of post-operative morbidities was 27% in the open group and 38% in the laparoscopic group (P = 0.12). Overall in-hospital mortality was 0.8% in open procedures vs 1% in laparoscopic.
  
  
  CONCLUSIONS
  Laparoscopic RH was associated with a significantly longer operative time compared to open RH. In our study, laparoscopic RH was not associated with reduced post-operative morbidity or significantly shorter length of hospital stay.
authors.affiliation: Aaron J Quyn, Robert JC Steele, Department of Surgical Oncology, University of Dundee, Dundee DD1 9SY, United Kingdom.
authors.forename: Aaron J
authors.initials: AJ
authors.lastname: Quyn
authors.forename: Osama
authors.initials: O
authors.lastname: Moussa
authors.forename: Fergus
authors.initials: F
authors.lastname: Millar
authors.forename: David M
authors.initials: DM
authors.lastname: Smith
authors.forename: Robert Jc
authors.initials: RJ
authors.lastname: Steele
keywords: Elderly; Laparoscopy; Open; Right hemicolectomy